JPINFV

So... how many 100's of square miles of packed suburbia should I know when the main streets don't have any sort of systematic naming system (i.e. 1st St. 2nd St, etc)? Sorry, but the entire "know your area" breaks down when your company takes calls over a large area and you don't know what part of that coverage area you'll be in until dispatch gives you your first post or call of the day.

"Negotiable"

Sorry... I stopped reading after Liberman Godwinn'ed the article.

It's not everything electric, it's everything electronic. However most things nowadays comes with a microchip, including vehicles. So, old fashion engines that aren't controlled by computers would still run fine.

never mind.. misread post...

Actually, the only gender I think a lot of people are assuming is that the prostitute is female. Because of that, the only two that I can feel comfortable as ascribing as being able to bear children is the prostitute and, obviously, the blind pregnant girl. It's not that I assume that the rest are males, it's just that I don't know.

...because there comes a time when a group of people have lived in a specific area long enough that they become "from" that area. My ancestors immigrated from Europe, yet I do not claim to be, nor feel European. I am an American, even though I'm only something like 3rd or 4th generation on my Dad's side. Similarly, regardless of where native Americans originally hailed from, by the time Europeans stumbled their way over here they've been around for a while. If we really want to go this route, then I guess we're all Middle Eastern a la the Cradle of Civilization theory.

You know, the ironic thing is that Cinco de Mayo isn't even an important holiday in Mexico. Actually, the Spanish empire being here predates Mexico. Also, as with all of the relative recent history of North America, I'm sure that the natives would argue about who was here first.

It's also being assumed that only the Catholic church has priests. What if the priest is an Anglican priest? Now we don't know what the sex of the priest is.

ALTE= Apparent Life Threatening Event. http://www.aafp.org/afp/2005/0615/p2301.html Technically it's for kids younger than 1 year old, but the concept that transient conditions are harbingers of bad juju isn't age specific, nor the concept that parents will notice things that are out of the ordinary. The concept definitely fits this case.

...because there are no corrupt police officers? Papers please comrade... papers.

Hmm... are paramedics not taught about ALTEs?

Well, the officer isn't going to be any better or worse than anyone else at creating or applying laws. ...and what if the officer is a clone of Farva from Super Troopers? We can play this game all day long.

Will the police officer know about the law besides enforcing specific statutes? His job isn't the creation (politicians), interpretation (judges) or application (lawyers), but only enforcement. If the only thing you're looking at doing is making sure someone can arrest another person, why couldn't the army officer do that? Capable of what? Creating, applying, or enforcing laws?

Who says that the police officer is the only person who can make and enforce laws? There was a time before police officers, yes?

Residency in what? Given the tools available, the training provided by the old physician will most likely be able to prepare the med student for the resources available. Assuming that the physician is internal med or family practice of course. If he's a radiologist, we're screwed. Are the laws in the new society going to be the same as in old society. Is the police officer going to be judge, jury, and executioner? Why can't the military officer act as a police officer?

Priest: Kill. I can pray on my own. 16 year old blind pregnant girl: Keep. We need as many people as we can to keep civilization going. She may be blind, but she is with child and that child alone will help repopulate. Farmer: Keep, food Police officer: Kill: 10 people is easy to police and in a post apocalyptic society there are no laws to enforce. History professor: Keep: knowing history means knowing and being able to implement lessons from the past. He could be a wealth of information on various topics both inside his field and outside his field of specialty. Prostitute: Keep. Women=children (harsh, I know, but it is what it is) 70yr old Doctor: keep to finish training the med student. Lawyer: Kill: See police officer. Army Captain: Keep, help to defend the strong hold Medical Student: Keep. Will be a doctor and the physician can help complete the training.

Just in case people don't realize how much information is easily available online. /zomg, the picture is hacking my email address!

Academic pre-reqs: Essentially a BSN Dukes BSN program: http://nursing.duke.edu/modules/son_academic/index.php?id=2 Course work: Again, high on fluff, low on actual background. Now, yes, the prereqs includes some missing courses, but let you ask yourself this. If undergrad A/P was so useful for independent practitioners, why is it that no medical school in the US requires A/P as an admissions requirement and instead teaches it in-house? Where's the chemistry requirement? Physics? Hey Eydawn, didn't I call this over IMs?

There's a difference between a class being online and an entire program. There's something to be said about being in close proximity to school and the support services offered. There's also something to be said about having the choice to attend lectures in person. There's also something to be said about exam security that you can't say on any take home exam. Oh, please. There's a big difference between general undergrad courses and professional level graduate courses. My upper division undergrad neurobio course wasn't anywhere close to the level of difficulty and the quantity of material covered in the neuroscience system. I link directly to what I reference so that people reading the link don't have to go searching around a website for the evidence that I'm using to support my arguments. Of course you aren't refruting that Duke's DNP program is high on fluff and low on substance... interesting. Reread my post. I never claimed it was your quote. I very specifically said that it was a quote from the noctor being interviewed in the video I linked.

Err... I'm not thinking about being an NP. Try again. Also, being the husband of a NP doesn't make you an expert on NPs either. Also, if you've seriously browsed this and other forums, you'd notice that I (for the record, I'm "JPINFV" on most forums) don't exactly have a great deal of respect for the requirements to be an EMT either, little less the requirements to become a paramedic. When the noctor walks in and says, "Hi, I'm Doctor Noctor," are you going to seriously say that patients aren't going to assume that the person has an unrestricted license to practice medicine? Sorry, the term "doctor" in health care settings should be reserved for those with independent practice rights and everyone should take pains to avoid confusion. I would argue that a physician in a dentist office shouldn't be introducing themselves as "doctor" either because that setting a "doctor" is the dentist. Similarly, unless providing dental care, dentists shouldn't be using the term doctor in the hospital. If not, then why do they insist on being called doctors then?

Oh, I have no doubt that people like Mary Mundinger know the difference between DNP and physicians. I also have no doubt that she's also actively trying to blur that line. Let's take a few lines from this Noctor. http://www.cnn.com/video/#/video/health/2010/04/17/nr.velshi.nurses.power.cnn Yes... because doctors are just pill popping machines who act like mechanic fixing a machine. Make no mistake. It's not that noctors don't know the difference. They just don't care. Oh.... I get it. Doctors and medical students, by default, hate everyone except other physicians. Sorry, but going against other professions who are demanding parity to other providers who they haven't reached yet is exactly what you're saying I'm not doing. Protecting patients. Heck... let's take a quick Duke's DNP program. http://nursing.duke.edu/wysiwyg/downloads/Sample_Post_BSN_DNP_Adult_MAT_Plan.pdf First thing, please notice that this is a full time distance learning program. Ok, next 38 credits on nursing theory vs only 18 in actually treating patients. Hmm... Do you really want to go see someone who's only learned "select topics in advanced pathophysiology?" What happens if your problem isn't one of those select topics? See... maybe I'm against the idea of I have more units in a single semester on clinically relevant information than the noctors have in their entire program. Heck, the neuroscience system (anatomy, physiology, pathology, pharmacology, and clinical instruction) only was 11 units.

There's nothing wrong with mid levels operating under the supervision (ok... if the NPs want to call it "collaboration," so be it). However, I take issue with the concept that mid-levels should have independent practice rights. Would you go to an NP who was not supervised by a physician? If DNPs are given independent practice rights, does that mean that their training is equal to physicians? Where is the line between what is "nursing" and what is "medicine." If a DNP is diagnosing and treating without supervision, are they then practicing medicine, thus falling under the purview of the Board of Medicine instead of the Board of Nursing? What happens if the DNP misses a diagnosis because the pattern doesn't match the protocol? At what point do you say, "Enough is enough, if you want to be a [-ist] you go to [-al] school? If there's a nursing shortage, wouldn't making nurses into independent providers make the shortage worse? Let's take this another way. Should we let paramedics with masters degrees in EMS act as a medical director?

Can we please not get started on the noctors? Noctors demanding independent practice rights and increased scopes of practice is like a paramedic wondering why he can't work as a nurse in the ICU.

Imagine how bad it's going to be the first time an adverse event occurs and the plantiff's expert witness is someone from the state EMS office saying that if they were in charge that serious discipline would have been handed out prior to the event. It's going to be open season on torts against fire based EMS.